Provider Demographics
NPI:1477254571
Name:WILLIAMS, KRISTIN OBERHOLZER (MA, ALC, NCC)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:OBERHOLZER
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA, ALC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2416 1ST AVE N APT 22
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-4336
Mailing Address - Country:US
Mailing Address - Phone:256-206-2909
Mailing Address - Fax:
Practice Address - Street 1:200 CHASE PARK S STE 226
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1884
Practice Address - Country:US
Practice Address - Phone:205-774-1935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04408101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor